Page 287 - 2022 Ranger Medic Handbook
P. 287

TBI RTD CARD

                    •  Rest, limited activity to promote   •  DSM-5 Measure – Adult •  Sleep hygiene education &   handout •  3000mg molecularly distilled   pharmacopeia DHA/EPA   Omega-3 fatty acids  •  4x900mg Turmeric/Curcumin   daily  •  Exogenous Ketones  •  No alcohol or tobacco  •  No video games/phones  •


                 Education  recovery and eliminate symptoms  pharmaceutical grade European   •  No driving until vision & vestibular   Rest  Activity  4 hr  30 min  60 min  30 min







                Cognitive/Mood/Migraine   Activities  Rest with minimal,  limited cognitive activity   Light reading  TV limited to    1–2 hours/day  Count from 0 to 100 by   3s (all of this out loud)  Count from 100 to 0 by   3s Basic  Pixy Cubes – 4-block.   2, 3, 4 color progression    (Record # Solved)  Jigsaw




              TBI RETURN TO DUTY PROGRESSION  Physical Activities Light leisure activity, including  walking on level surface  Light physical activities to  include walking, treadmill,  stationary bike, elliptical at  low pace and resistance Monitor HR and keep in Zone  0, 1, 2 – Daily exercises is at  80-90% of HR















                 Vestibular/Ocular-Motor/Cervical Daily activity that does not provide  symptoms – (No exercise) Low light, low noise environment –    24–48 hours of symptom-limited  cognitive and physical rest followed  by a gradual increase in activity,  staying below symptom-exacerbation   •  Progression: (progr












                 Stage  1  (stay at home)  thresholds  2        toe taps     SECTION 10




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